ExclusionALERT™

The Office of Inspector General (OIG) in the Department of Health and Human Services (HHS) prohibits payment from Medicare and Medicaid to excluded providers and levies hefty fines and monetary penalties upon healthcare providers for non-compliance. As a best practice, the OIG recommends monthly screening of all employees, contractors, referring physicians, and vendors against the federal List of Excluded Individuals and Entities (LEIE) and all state Medicaid registries to identify any excluded individuals or entities currently barred from participating in Medicare and Medicaid.

Healthcare providers who fail to conduct on-going monthly screenings are deemed to have “known or should have known”, of the excluded party’s barred status and are subject to fines, penalties, and even exclusion from Medicare and Medicaid if they employ or do business with any excluded individuals or entities.

Once potential matches have been identified, each one is personally investigated by our team of experienced investigation professionals who will positively identify any currently sanctioned individual or entity you are employing or with whom you are doing business.

Our Services

LicenseALERT™

The Center for Medicare and Medicaid Studies (CMS) requires Medicare contractors to conduct monthly reviews of state licensing board actions.

SanctionShield™

Ready to get peace of mind and take your OIG/CMS compliance to the next level?

Let us show you how comprehensive and thorough our services are. Instead of just telling you how much you will love our services, we want to offer you a complimentary one-month trial of our ExclusionALERT™ family of services. That’s right…our full services for one month at no charge!

Application Researchers® has been in operation since 1994 and has been providing OIG LEIE research for more than fifteen years. We use a proprietary, internet-accessible software (Zip24AR®), which allows clients to securely request service, view progress in real-time and view/store reports.